| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,535 |
6,823 |
$470K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,014 |
8,294 |
$399K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,707 |
2,569 |
$136K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,056 |
1,028 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,954 |
4,885 |
$61K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,378 |
2,234 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
916 |
915 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
656 |
649 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
581 |
579 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
754 |
736 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,670 |
2,605 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,201 |
3,113 |
$29K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,241 |
2,236 |
$21K |
| 87634 |
|
260 |
240 |
$15K |
| 96127 |
|
3,338 |
3,322 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,013 |
775 |
$11K |
| 85018 |
|
3,670 |
3,647 |
$8K |
| 90461 |
|
966 |
955 |
$8K |
| 81002 |
|
2,666 |
2,618 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
85 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
293 |
$4K |
| 80061 |
Lipid panel |
660 |
660 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
247 |
$3K |
| ATP03 |
|
360 |
360 |
$2K |
| 83655 |
|
131 |
131 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 0072A |
|
26 |
26 |
$1K |
| 99050 |
|
69 |
67 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87807 |
|
60 |
58 |
$645.46 |
| 99173 |
|
24 |
24 |
$220.00 |
| 96161 |
|
2,260 |
2,251 |
$51.41 |
| 90677 |
|
49 |
49 |
$23.00 |
| 96160 |
|
232 |
229 |
$22.33 |
| 36416 |
|
2,257 |
2,235 |
$0.00 |
| 90686 |
|
1,016 |
994 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 90698 |
|
164 |
163 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 91307 |
|
55 |
55 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 90670 |
|
166 |
165 |
$0.00 |
| 99072 |
|
2,487 |
2,334 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |